This First Communion pendant depicts the Last Supper, where Christ instituted the Eucharist. St. John, who symbolizes each First Communicant, rests his head near the Sacred Heart of Jesus. The image symbolizes God loves for us and communion with us in the Sacrament. The medal measures 1 1/8″ x 3/4″ and is made of sterling silver. It comes with a 20″ stainless steel chain.